| NPI | 1255461224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 3093) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: OR 5651) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-03-23 |